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Navy and Marine Corps Medical News
November 10, 2000
Navy and Marine Corps Medical News (MEDNEWS) is a weekly
compendium of news and information contributed by commands
throughout the Navy medical department . Information contained in
MEDNEWS stories is not necessarily endorsed by Navy Bureau of
Medicine and Surgery (BUMED) , nor should it be considered
official Navy policy.
BUMED distributes MEDNEWS to Sailors and Marines, their
families, civilian employees and retired Navy and Marine Corps
families. Further distribution is highly encouraged.
Stories in MEDNEWS use these abbreviations after a Navy
medical professional 's name to show affiliation: MC — Medical
Corps (physician) ; DC - Dental Corps; NC - Nurse Corps; MSC -
Medical Service Corps (clinicians , researchers and
administrative managers) . Hospital Corpsmen (HM) and Dental
Technician (DT) designators are placed in front of their names.
Contents for this week's MEDNEWS:
— Put out that smoke at the Great American Smokeout
— Pearl Harbor clinic scores high on JCAHO exam
— Miramar dental technicians to the rescue
— NMC San Diego sponsors fourth annual Navy trauma symposium
— USNH Okinawa supports state department
— TRICARE question and answer
— Healthwatch: The truth about fad diets
Headline: Put out that smoke at the Great American Smokeout
From Department of Defense Public Affairs
WASHINGTON - Some people who have quit smoking may tell you
that it was the hardest thing they've ever done. They may also
tell you that it was the smartest thing they've ever done.
This year, more than seven out of every 10 smokers will
attempt to quit. The greatest challenge isn't deciding to quit;
most know it is the right thing to do. The greatest challenge is
actually doing it .
The Department of Defense is urging all service members,
civilian employees and their families who smoke or use tobacco
products to participate in the Great American Smokeout on Nov.
"The first step in quitting is to prepare to quit, " said J.
Jarrett Clinton, acting assistant secretary of defense for
health affairs said. "This means picking a day. Why not the
Great American Smokeout when millions of other Americans quit?"
Clinton continued to say that the next step in quitting
includes selecting a method to quit.
"Your medical service providers can help you choose the
program that is right for you. We want everyone to know that if
you want to quit, there are people and programs available to
help you succeed, " said Clinton.
Don't delay your decision to quit. Smoking is an issue that
affects the health of everyone in the family, not just the
smoker. Too often, it is the family of the smoker that suffers
the effects of second— hand smoke. Lung and nasal sinus cancer,
heart disease and sudden infant death syndrome (SIDS) have all
been linked to the effects of second-hand smoke.
Once you have picked the day to quit, and enlisted the
assistance of your health care provider in selecting the method,
it is time to do it. What better reason than the health of
yourself and your family to mark Nov. 16 as the day to stop
smoking and begin living tobacco free.
Headline: Pearl Harbor clinic scores high on JCAHO exam
From Naval Medical Clinic Pearl Harbor
PEARL HARBOR - Making sure we provide our beneficiaries with
the highest quality healthcare in a timely and efficient manner
has always been Naval Medical Clinic Pearl Harbor's number one
This commitment to quality was reaffirmed when the command
received a score of 95 out of a possible 100 during the recent
Joint Commission on Accreditation of Healthcare Organizations
(JCAHO) . The Counseling in Alcohol Assistance Center (CAAC) was
awarded a score of 99 out of a possible 100 by the Behavioral
Health Care standards.
The survey, conducted every three years, evaluates healthcare
organizations based on JCAHO developed, state-of-the-art,
standards and evaluates the compliance of healthcare
organizations against these measurements.
Within the Department of the Navy, Naval Medical Clinic Pearl
Harbor has the highest score to date for a free standing
ambulatory care facility.
Accreditation by the JCAHO is a recognized nationwide symbol
for quality that indicates an organization meets or exceeds the
highest levels of patient care possible.
Headline: Miramar dental technicians to the rescue
From Marine Corps Air Station Miramar
SAN DIEGO, Ca. - Dental technicians from First Dental
Battalion/Naval Dental Center, Marine Corps Air Station,
Miramar, quickly responded to an accident that trapped fellow
servicemen in a five-ton military truck.
While driving, three dental technicians noticed an overturned
military truck, with a military generator on top of it . The
Marines pulled over, jumped an embankment and began to assist
the victims .
DT2 Eugene Allen and DT3 Daniel Huerta approached the
accident to assess the situation while DT3 Todd Johnson called
911 on his cell phone. Huerta and Allen began triage on both the
driver and passenger, making sure there were no back injuries
before removing them from the vehicle.
The driver sustained minor injuries to his wrist and arm and
was monitored for shock symptoms . The passenger sustained minor
injuries to the head, arms and back.
The passenger was then wrapped in a blanket and told to lie
down and apply direct pressure to a large laceration on the back
of his head. Both men were continuously asked questions and
monitored for shock.
When emergency crews arrived, the three dental technicians
relayed patient information. Their quick action and response
helped save the victims from severe injury that could have been
serious if left unattended.
Headline: NMC San Diego sponsors fourth annual Navy trauma
From Naval Medical Center San Diego
SAN DIEGO, Ca. - Naval Medical Center San Diego is sponsoring
its Fourth Annual Navy Trauma Symposium November 16—17. This
year's theme is "Bringing 21st Century Trauma Care to the Low
Intensity Theater. "
The program is supported by the Navy's Bureau of Medicine and
Surgery (BUMED) , TRICARE Region Nine, Distributive Learning
Networks and the Henry M. Jackson Foundation.
This live, interactive, two-day symposium will capture the
team concept of trauma care. The target audience is physicians
but highlights the entire trauma healthcare team. Participants
may attend locally at Naval Medical Center San Diego or receive
the program by satellite or video teleconference. Continuing
Education credit is available.
Twenty invited faculty, both military and civilian, will
guide the audience through the Continuum of Care. Symposium
panalists, composed of physicians , nurses, first responder
corpsmen/medics , and other specialists , will define the low-
intensity warfare environment, determine the differences in
routine military and civilian settings , and discuss how the
management of injuries and situations impacts optimal care from
the pre-hospital setting to definitive care.
This non— scrambled, public domain program will be available
throughout The United States, Hawaii and Puerto Rico on C—Band
analog satellite bands. It is also available on the
Military/Federal GETN/Warrior satellite networks whose downlinks
are found at Army and Air Force installations and at over 200
Air National Guard locations. Other federal networks may also
carry this program. Satellite frequency information will be
available after registering.
The program will be available on a space-available basis on
the USN CNET and USA TNET VTC networks and to a limited number
of non— satellite capable VTC sites via dial— up video terrestrial
Videotapes of this program will be available later for
educational purposes. CMEs, however, may be offered on a case-
by-case basis only.
All military and civilian sites must register on-line to
receive satellite coordinates or Warrior Illumination
Continuing Education credits will be offered to medical
personnel on— site, via satellite and via VTC if coordinated with
a site coordinator. Site coordinators must register on-line.
Site coordinators will receive further information about credit
Schedule and registration information may be found at www—
nmcsd.med.navy.mil/newsletters/trauma/schedule.html, or call Ed
Kronholm, Satellite Programs Coordinator, toll free at 888—820—
4898. For technical questions about connecting via VTC, contact
Mike La France, NMCSD VTC coordinator, at 619-532-5380.
Headline: USNH Okinawa supports State Department
By HM3 (FMF) Jeremy R. Dunlap, USNH Okinawa
OKINAWA - Eight staff members from USNH Okinawa, Japan, were
recently given the opportunity to participate in the training of
U.S. Embassy medical personnel from the State Department.
The USNH team traveled to Bangkok, Thailand, where they
conducted a re-certification course in basic life support during
the annual State Department Medical Conference.
The course was taught using the American Heart Association
and Military Training Network guidelines for cardiopulmonary
resuscitation and also included training in the use of the
automatic external defibrillator.
Approximately fifty members of the embassy staff were trained
and certified during this one-day course.
Headline: TRICARE question and answer
Question: If I am already confident that I need to see a
specialist, do I need to contact my PCM before I go? What will
happen if I don't?
Answer: For those enrolled in TRICARE Prime, it is always
necessary to first consult your Primary Care Manager for
specialty care. If it is necessary for you to see a specialist,
your PCM will help make an appointment for you. If you see a
specialist on your own without prior approval from your PCM, you
will be participating in Prime's Point-of-Service option and
will be responsible for 50 percent of the cost after the
deductible ($300 for single enrollment and $600 for family
enrollment) is met.
Headline: The truth about fad diets
From National Naval Medical Center
BETHESDA, Md.- We have all heard the ads: "Lose all the
weight you want, without diet and exercise!" or "melt those
pounds away... lose up to 30 pounds a month, guaranteed!"
The American public is faced with an overwhelming amount of
food and nutrition information. Despite the aggressive attempts
by the federal government and various national health
organizations to educate the public on healthy eating and
nutrition, fad diets are everywhere.
Unfortunately, it is not always clear how to distinguish
nutrition facts from nutrition fallacy. Nutrition facts are
those that have been established by research in a laboratory
setting; nutrition fallacy consists of erroneous facts or
misinterpretation of nutrition science.
How can you tell if a nutrition claim is true? Here is a
checklist of what to look for in a nutritional product or diet
promotion: Does it promise a quick fix with minimal effort? Is
it advertised primarily by the use of case histories or
testimonials? Does it contain some secret ingredient? Does it
dismiss currently accepted nutrition theories or practices? Does
it limit the diet to a specific time (3-day, 7-day) ? Is it
expensive? Does it seem too good to be true?
Quick weight loss is not a permanent solution to obesity.
Successful weight loss means losing weight and keeping it off. A
weight reduction diet that incorporates changes in eating and
exercise habits facilitating gradual weight loss has been proven
to be the most successful .
The problem with fad diets is that they restrict or limit
certain foods or entire food groups which is unrealistic, and
possibly dangerous (i.e. The Beverly Hills fruit diet, the
Cabbage Soup diet, the 7-day fat burning diet) .
A seven-day diet may allow a person to lose some weight, but
what happens after the 7 days are over? Fad diets such as these
cause a temporary loss of water, which gives the false
impression of losing weight .
High-protein, low-carbohydrate diets are known for this. Once
eating returns to normal, the weight returns to pre-diet levels.
Another common fallacy is the "fat— burning" diet. Grapefruit
or other foods will not burn fat .
You burn fat by either eating less food than your body needs
or doing aerobic exercise. To lose weight, you must create a
calorie deficit, meaning you burn more calories than you take
in . Remember that 3, 500 calories equals a pound of fat .
If you create a 500-calorie deficit each day for a week, you
will theoretically lose one pound of body fat . This is why
weight loss is such a slow process.
Any diet that promises that you will lose more that 2 pounds
per week is probably a fad diet-don 't be fooled. Remember the
cardinal rule of nutrition: Don't believe everything you read
about nutrition from someone trying to sell you something.
Comments and ideas for MEDNEWS are welcome. Story Submissions
are highly encouraged. Contact MEDNEWS editor. At email:
email@example.com; telephone 202-762-3218, (dsn) 762, or